Active NPI
Anem Javed Nawaz
- Psychiatry Physician
- Jacksonville Beach, FL
National Provider Identifier
1356831267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME152664
- Practice address
- 1300 Marsh Landing Pkwy Ste 112
Jacksonville Beach, FL 32250-2407 - Phone
- (904) 456-0002
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME152664 | FL | Primary |
Addresses
Primary practice location
1300 Marsh Landing Pkwy Ste 112
Jacksonville Beach, FL 32250-2407
Mailing address
1300 Marsh Landing Pkwy Ste 112
Jacksonville Beach, FL 32250-2407
Phone (904) 456-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152664 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients |
Locations
1300 Marsh Landing Pkwy
Ste 112
Jacksonville Beach, FL 32250
Phone (904) 456-0002
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
Interoperability endpoints
- anem.nawaz@hca5.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Sarasota, FL
- NPI 1033984448
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1356831267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MARSH LANDING PKWY STE 112",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322502407",
"telephone_number": "904-456-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MARSH LANDING PKWY STE 112",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322502407",
"telephone_number": "904-456-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWAZ",
"first_name": "ANEM",
"middle_name": "JAVED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME152664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
- Brett Jackson Murray, MD
- My Life Jax Therapy and Coaching
- Myeyedr Optometry of Florida, LLC
- Nagula & Associates, PLLC
- William J Namen II, D.P.M.
- Mitzy K Neel, LMHC
- Ali Zahiri Negad, PT, DPT
- Trisha Nelligan, OT
- Neurology Associates of North Florida , Inc
- Neurology Associates of North Florida Diagnostics,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.